Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.97 / $72.53 / $165.93	Facility		$16.97	$72.53	$165.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $14.78 / $44.49	Professional		$11.11	$14.78	$44.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $41.27 / $293.00	Facility		$18.75	$41.27	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.66 / $37.39	Professional		$7.94	$12.66	$37.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $85.76 / $206.54	Facility		$42.81	$85.76	$206.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9.97 / $14.24 / $55.57	Professional		$9.97	$14.24	$55.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $22.46 / $57.27	Facility		$11.13	$22.46	$57.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $19.82 / $30.12	Professional		$10.61	$19.82	$30.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $17.11 / $27.38	Professional		$14.29	$17.11	$27.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $17.11 / $37.29	Professional		$13.69	$17.11	$37.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $73.54 / $92.38 / $100.00	Facility		$73.54	$92.38	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.26 / $10.26	Professional		$10.26	$10.26	$10.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $19.68 / $48.71	Facility		$13.34	$19.68	$48.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $17.11 / $34.22	Professional		$11.36	$17.11	$34.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13.69 / $17.11 / $23.95	Professional		$13.69	$17.11	$23.95
United Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $11.03 / $11.88	Facility		$7.70	$11.03	$11.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.19 / $9.67 / $32.35	Professional		$7.19	$9.67	$32.35